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Wisconsin

Cheapest ACA plans in Wisconsin for 2026

Cheapest Bronze plan in Wisconsin, before subsidies: Dean Health Plan Dean Focus Bronze Share in Adams County at $353/month for a 40-year-old non-tobacco user; Dean Health Plan Dean Focus Bronze Share in Adams County at $1,125/month for a family of four (two 40-year-olds and two kids under 14). Wisconsin uses Healthcare.gov and has not adopted ACA Medicaid expansion, but BadgerCare Plus covers adults up to 100% FPL, so Wisconsin has no coverage gap — the only non-expansion state where that is true.

Cheapest plans by metal tier

Lowest 2026 monthly premium for a single 40-year-old non-tobacco user, on-exchange, before any subsidy. Per-age figures derived from the CMS QHP Landscape file using the HHS standardized age-rating curve (45 CFR 147.102).

TierCheapest age 40 monthlyPlans statewide
Expanded Bronze$3531,523
Catastrophic$360116
Bronze$388175
Silver$5261,636
Gold$5311,357
Platinum$6083

The actual cheapest plan in major counties

Same data the search returns: carrier, plan name, monthly premium, individual deductible, individual MOOP. Computed for a single 40-year-old non-tobacco user, before any subsidy. Catastrophic plans excluded because adults 30+ typically need a hardship-exemption certificate to enroll.

Milwaukee County

$485/mo

Network Health · Prestige Bronze Essential + 3 Free PCP Visits

Expanded BronzeDeductible $7,750MOOP $9,500HSA-eligible

Dane County

$353/mo

Dean Health Plan · Dean Focus Bronze Share

Expanded BronzeDeductible $8,000MOOP $10,600HSA-eligible

Waukesha County

$423/mo

Dean Health Plan · Dean Bronze Share

Expanded BronzeDeductible $8,000MOOP $10,600HSA-eligible

Brown County

$418/mo

Dean Health Plan · Prevea360 Bronze Share

Expanded BronzeDeductible $8,000MOOP $10,600HSA-eligible

Racine County

$468/mo

Anthem Blue Cross and Blue Shield · Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Expanded BronzeDeductible $5,000MOOP $10,600HSA-eligible

Outagamie County

$397/mo

Network Health · Prestige Bronze Essential + 3 Free PCP Visits

Expanded BronzeDeductible $7,750MOOP $9,500HSA-eligible

The actual cheapest plan for a family of four

Two 40-year-old adults and two kids in the 0-14 age band, before any subsidy. Carrier, plan name, premium, deductible, and MOOP exactly as the search would return them.

Milwaukee County

$1,549/mo

Network Health · Prestige Bronze Essential + 3 Free PCP Visits

Expanded BronzeIndividual deductible $7,750Individual MOOP $9,500HSA-eligible

Dane County

$1,128/mo

Dean Health Plan · Dean Focus Bronze Share

Expanded BronzeIndividual deductible $8,000Individual MOOP $10,600HSA-eligible

Waukesha County

$1,351/mo

Dean Health Plan · Dean Bronze Share

Expanded BronzeIndividual deductible $8,000Individual MOOP $10,600HSA-eligible

Brown County

$1,335/mo

Dean Health Plan · Prevea360 Bronze Share

Expanded BronzeIndividual deductible $8,000Individual MOOP $10,600HSA-eligible

Racine County

$1,496/mo

Anthem Blue Cross and Blue Shield · Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Expanded BronzeIndividual deductible $5,000Individual MOOP $10,600HSA-eligible

Outagamie County

$1,269/mo

Network Health · Prestige Bronze Essential + 3 Free PCP Visits

Expanded BronzeIndividual deductible $7,750Individual MOOP $9,500HSA-eligible

Subsidies: federal APTC with BadgerCare Plus below 100% FPL

Wisconsin does not fund a supplemental state premium subsidy or §1332 reinsurance waiver. Marketplace help is federal only, but Wisconsin's Medicaid program (BadgerCare Plus) closes the low-income gap that other non-expansion states leave open:

  1. Federal Advance Premium Tax Credit (APTC). Households 100-400% FPL on the PY2026 standard ACA contribution curve. The ARPA / IRA enhanced subsidies expired 2025-12-31 and are not in effect for 2026, so the hard 400% FPL cliff is back.
  2. Federal cost-sharing reductions (CSRs). Households 100-250% FPL enrolled in a Silver plan receive reduced deductibles, copays, and out-of-pocket maximums automatically.
  3. BadgerCare Plus below 100% FPL. Adults 19-64 with income up to 100% FPL qualify for BadgerCare Plus (parents and childless adults alike), not for Marketplace APTC. This is the key distinction: BadgerCare Plus backfills the sub-100% range that would otherwise be a coverage gap.

No coverage gap. Wisconsin has not adopted full ACA Medicaid expansion to 138% FPL, but BadgerCare Plus covers adults up to 100% FPL, and federal APTC picks up from 100% FPL upward. Wisconsin is the only non-expansion state in the country that does not have a coverage gap. The tradeoff is that adults between 100% and 138% FPL pay net premiums on the Marketplace (with subsidies) rather than receiving Medicaid; this is a different mix than ACA expansion but still provides a coverage pathway for every income bracket.

Catastrophic plans in Wisconsin follow federal rules

Wisconsin follows the federal ACA default: Catastrophic plans are available to enrollees under age 30, or at any age with a hardship / affordability exemption. The PY2026 federal auto-expansion applies: adults 30+ automatically qualify when the lowest-cost Bronze plan exceeds the affordability threshold. APTC does not apply to Catastrophic plans.

Tobacco surcharges follow the federal 1.5x default in Wisconsin

Wisconsin applies the federal ACA default (45 CFR 147.102): carriers may charge tobacco users up to 50% more than non-users (a 1.5-to-1 rate ratio). The Wisconsin Office of the Commissioner of Insurance (OCI) reviews rate filings under Wis. Stat. Chapter 601. No Wisconsin-specific cap below the federal 1.5x ceiling has been identified. Federal APTC does not offset the tobacco portion of the premium.

Carriers selling 2026 plans in Wisconsin

16 carriers, 6,363 plans across 72 counties. 4,810 sold on Healthcare.gov, 1,553 off-exchange-only direct from carriers. Wisconsin has one of the most competitive individual markets in the country, with provider-owned and cooperative carriers. For PY2026, expect Dean Health Plan, Security Health Plan (Marshfield Clinic), Quartz, Network Health, Anthem Blue Cross Blue Shield, Children's Community Health Plan, and Common Ground Healthcare Cooperative. Carrier availability varies substantially by county.

CarrierPlans (on + off exchange)
Quartz1,155
Anthem898
Security Health Plan821
Common Ground Healthcare Cooperative658
UnitedHealthcare540
HealthPartners527
Medica522
Dean Health Plan504
Aspirus Health Plan388
Network Health Plan177

Enrollment

Open Enrollment for 2026 coverage runs November 1, 2025 through January 15, 2026. Enroll by December 15 for a January 1 effective date; December 16 through January 15 takes effect February 1. Special Enrollment is available year-round for qualifying life events.

Direct enrollment: healthcare.gov.

Frequently asked questions

What is the cheapest ACA plan in Wisconsin for 2026?

The cheapest Bronze-tier plan a 40-year-old non-tobacco user can enroll in without paperwork is Dean Health Plan Dean Focus Bronze Share in Adams County at $353 per month before subsidies. Data refreshed 2026-04-19T08:08:55.462Z.

Does Wisconsin use Healthcare.gov?

Yes. Wisconsin participates in the federally-facilitated Marketplace (FFM), so enrollment and subsidy applications run through healthcare.gov. Wisconsin does not operate a state-based exchange.

Has Wisconsin expanded Medicaid?

No, not under the ACA expansion framework. However, Wisconsin's BadgerCare Plus program covers adults up to 100% FPL (parents and childless adults alike), and adults above 100% FPL qualify for federal APTC on the Marketplace. Wisconsin is the only non-expansion state in the country without a coverage gap.

Why does Wisconsin have no coverage gap?

Other non-expansion states cap Medicaid eligibility for non-disabled adults at thresholds well below 100% FPL (or exclude childless adults entirely), leaving a gap between Medicaid's upper limit and APTC's lower limit (100% FPL). Wisconsin caps BadgerCare Plus eligibility right at 100% FPL for all adults, so there is no income range where someone is ineligible for both Medicaid and APTC.

Which carriers offer Wisconsin plans on Healthcare.gov?

Wisconsin has one of the most competitive Marketplaces in the country. For PY2026, expect Dean Health Plan, Security Health Plan (Marshfield Clinic), Quartz, Network Health, Anthem Blue Cross Blue Shield, Children's Community Health Plan, and Common Ground Healthcare Cooperative. County-level availability varies substantially.

Does Wisconsin have a state premium subsidy on top of federal APTC?

No. Wisconsin does not fund a state premium assistance program or §1332 reinsurance waiver. The only financial help for Marketplace enrollees is federal APTC and CSRs, and the ARPA/IRA enhanced credits expired at the end of 2025.

Sources

Plan year 2026, last refreshed 2026-04-19T08:08:55.462Z. Methodology and full data attribution at about.